GRACE SO MD
NPI 1205169117
Pediatrics in Sacramento, CA

Q: What is Grace So's NPI number?

The NPI number for Grace So is 1205169117. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Q: What is Grace So's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Grace So was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2009PECOS Enrolled

1625 STOCKTON BLVD STE 106, SACRAMENTO, CA 95816(916) 262-9002 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Grace So Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE SO MD (NPI 1205169117) is an individual pediatrics provider in Sacramento, California, licensed in California (A108392) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205169117

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameGRACE SOCredential: MD

Location Address1625 STOCKTON BLVD STE 106Sacramento, CA 95816-7098

Mailing AddressPo Box 255228Sacramento, CA 95865-5228

Phone(916) 262-9002

Sole ProprietorNo

Enumeration DateSeptember 9, 2009

Last NPPES UpdateDecember 8, 2023

NPPES CertifiedDecember 8, 2023

✔ NPI 1205169117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A108392

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1625 STOCKTON BLVD STE 106, Sacramento, CA 95816

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace So Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA BUMSTEAD

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